Impact of Angiographically Detected Residual Trabeculation After Left Atrial Appendage Closure Using the WATCHMAN Device: Insight From the OCEAN-LAAC Registry
Research on the impact of angiographically detected residual trabeculation after left atrial appendage closure (LAAC) is limited. To investigate the incidence, characteristics, and clinical implications of angiographically detected residual trabeculation after LAAC using the WATCHMAN device. We anal...
Gespeichert in:
| Veröffentlicht in: | Journal of cardiovascular electrophysiology 2024-12 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | |
| container_start_page | |
| container_title | Journal of cardiovascular electrophysiology |
| container_volume | |
| creator | Chatani, Ryuki Kubo, Shunsuke Nishiura, Naoki Mushiake, Kazunori Ono, Sachiyo Maruo, Takeshi Kadota, Kazushige Sago, Mitsuru Tanaka, Shuhei Asami, Masahiko Hachinohe, Daisuke Naganuma, Toru Ohno, Yohei Tani, Tomoyuki Okamatsu, Hideharu Mizutani, Kazuki Watanabe, Yusuke Izumo, Masaki Saji, Mike Mizuno, Shingo Ueno, Hiroshi Shirai, Shinichi Nakashima, Masaki Yamamoto, Masanori Hayashida, Kentaro |
| description | Research on the impact of angiographically detected residual trabeculation after left atrial appendage closure (LAAC) is limited.
To investigate the incidence, characteristics, and clinical implications of angiographically detected residual trabeculation after LAAC using the WATCHMAN device.
We analyzed 1350 consecutive patients with atrial fibrillation undergoing LAAC using the WATCHMAN device from the OCEAN-LAAC registry, which is a prospective ongoing, multicenter Japanese registry. The inclusion criteria comprised patients who successfully underwent LAAC and whose presence or absence of residual trabeculation can be confirmed using a contrast medium. The clinical outcomes were compared between patients with and without angiographically detected residual trabeculation.
Residual trabeculation was angiographically detected in 5.6% (75/1350 patients). At the procedure, the proportion of peri-device leak (PDL) was significantly higher in the residual trabeculation group than in the non-residual trabeculation group (20% vs. 5.1%, p |
| doi_str_mv | 10.1111/jce.16517 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmed_primary_39632412</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3146519004</sourcerecordid><originalsourceid>FETCH-LOGICAL-p562-30fab724b11f0e1f157f15b278f661e4535df0034df1dee7dcc696c0161957c13</originalsourceid><addsrcrecordid>eNpNkNtKxDAQhoMo7nq48AUkl95UM02b7noX6mlhVZAVL5c0nXSz9GSSCvsyPqvFAzgwzMB8fAM_IWfALmGsq63GSxApZHtkCmnCohmIbP_fPiFH3m8ZAy5YekgmfC54nEA8JZ-Lplc60M5Q2Va2q5zqN1arut7RGwyoA5b0Bb0tB1XTlVMF6qFWwXYtlSago0s0gcrg7HiXfY9tqSqked35wSF99bataNggfZOr_OFRPo3aD6vxmi5ab6tNoHeua76J5_xWPkVLKfPxY2V9cLsTcmBU7fH0dx6T1d3t6ImWz_eLXC6jPhVxxJlRRRYnBYBhCAbSbOwizmZGCMAk5WlpGONJaaBEzEqtxVxoBgLmaaaBH5OLH23vuvcBfVg31musa9ViN_g1h2SMd85YMqLnv-hQNFiue2cb5Xbrv0j5F2Atdw8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3146519004</pqid></control><display><type>article</type><title>Impact of Angiographically Detected Residual Trabeculation After Left Atrial Appendage Closure Using the WATCHMAN Device: Insight From the OCEAN-LAAC Registry</title><source>Wiley Journals</source><creator>Chatani, Ryuki ; Kubo, Shunsuke ; Nishiura, Naoki ; Mushiake, Kazunori ; Ono, Sachiyo ; Maruo, Takeshi ; Kadota, Kazushige ; Sago, Mitsuru ; Tanaka, Shuhei ; Asami, Masahiko ; Hachinohe, Daisuke ; Naganuma, Toru ; Ohno, Yohei ; Tani, Tomoyuki ; Okamatsu, Hideharu ; Mizutani, Kazuki ; Watanabe, Yusuke ; Izumo, Masaki ; Saji, Mike ; Mizuno, Shingo ; Ueno, Hiroshi ; Shirai, Shinichi ; Nakashima, Masaki ; Yamamoto, Masanori ; Hayashida, Kentaro</creator><creatorcontrib>Chatani, Ryuki ; Kubo, Shunsuke ; Nishiura, Naoki ; Mushiake, Kazunori ; Ono, Sachiyo ; Maruo, Takeshi ; Kadota, Kazushige ; Sago, Mitsuru ; Tanaka, Shuhei ; Asami, Masahiko ; Hachinohe, Daisuke ; Naganuma, Toru ; Ohno, Yohei ; Tani, Tomoyuki ; Okamatsu, Hideharu ; Mizutani, Kazuki ; Watanabe, Yusuke ; Izumo, Masaki ; Saji, Mike ; Mizuno, Shingo ; Ueno, Hiroshi ; Shirai, Shinichi ; Nakashima, Masaki ; Yamamoto, Masanori ; Hayashida, Kentaro ; OCEAN‐LAAC investigators</creatorcontrib><description>Research on the impact of angiographically detected residual trabeculation after left atrial appendage closure (LAAC) is limited.
To investigate the incidence, characteristics, and clinical implications of angiographically detected residual trabeculation after LAAC using the WATCHMAN device.
We analyzed 1350 consecutive patients with atrial fibrillation undergoing LAAC using the WATCHMAN device from the OCEAN-LAAC registry, which is a prospective ongoing, multicenter Japanese registry. The inclusion criteria comprised patients who successfully underwent LAAC and whose presence or absence of residual trabeculation can be confirmed using a contrast medium. The clinical outcomes were compared between patients with and without angiographically detected residual trabeculation.
Residual trabeculation was angiographically detected in 5.6% (75/1350 patients). At the procedure, the proportion of peri-device leak (PDL) was significantly higher in the residual trabeculation group than in the non-residual trabeculation group (20% vs. 5.1%, p < 0.001). However, the PDL and device-related thrombosis at 45 days and 1 year were comparable between the two groups (37% vs. 23%, p = 0.24; 28% vs. 31%, p = 0.84; 2.1% vs. 1.4%, p = 0.50; 6.9% vs. 6.0%, p = 0.69, respectively). The 3-year cumulative incidence of ischemic stroke, all cardiovascular death, and all-cause death were comparable between the two groups (5.7% vs. 5.5%, log-rank p = 0.96; 7.7% vs. 8.9%, log-rank p = 0.34, 31.4% vs. 22.3%, log-rank p = 0.71, respectively).
The angiographically detected residual trabeculation rate was 5.6%, and this population had a significantly higher prevalence of PDL at the procedure. However, the presence of residual trabeculation did not contribute to PDL or device-related thrombosis at follow-up or affect the clinical outcomes.</description><identifier>ISSN: 1540-8167</identifier><identifier>EISSN: 1540-8167</identifier><identifier>DOI: 10.1111/jce.16517</identifier><identifier>PMID: 39632412</identifier><language>eng</language><publisher>United States</publisher><ispartof>Journal of cardiovascular electrophysiology, 2024-12</ispartof><rights>2024 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0001-7551-3431 ; 0009-0009-7622-8494 ; 0000-0001-8122-3561 ; 0000-0001-9747-2511 ; 0000-0003-4794-7843</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39632412$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chatani, Ryuki</creatorcontrib><creatorcontrib>Kubo, Shunsuke</creatorcontrib><creatorcontrib>Nishiura, Naoki</creatorcontrib><creatorcontrib>Mushiake, Kazunori</creatorcontrib><creatorcontrib>Ono, Sachiyo</creatorcontrib><creatorcontrib>Maruo, Takeshi</creatorcontrib><creatorcontrib>Kadota, Kazushige</creatorcontrib><creatorcontrib>Sago, Mitsuru</creatorcontrib><creatorcontrib>Tanaka, Shuhei</creatorcontrib><creatorcontrib>Asami, Masahiko</creatorcontrib><creatorcontrib>Hachinohe, Daisuke</creatorcontrib><creatorcontrib>Naganuma, Toru</creatorcontrib><creatorcontrib>Ohno, Yohei</creatorcontrib><creatorcontrib>Tani, Tomoyuki</creatorcontrib><creatorcontrib>Okamatsu, Hideharu</creatorcontrib><creatorcontrib>Mizutani, Kazuki</creatorcontrib><creatorcontrib>Watanabe, Yusuke</creatorcontrib><creatorcontrib>Izumo, Masaki</creatorcontrib><creatorcontrib>Saji, Mike</creatorcontrib><creatorcontrib>Mizuno, Shingo</creatorcontrib><creatorcontrib>Ueno, Hiroshi</creatorcontrib><creatorcontrib>Shirai, Shinichi</creatorcontrib><creatorcontrib>Nakashima, Masaki</creatorcontrib><creatorcontrib>Yamamoto, Masanori</creatorcontrib><creatorcontrib>Hayashida, Kentaro</creatorcontrib><creatorcontrib>OCEAN‐LAAC investigators</creatorcontrib><title>Impact of Angiographically Detected Residual Trabeculation After Left Atrial Appendage Closure Using the WATCHMAN Device: Insight From the OCEAN-LAAC Registry</title><title>Journal of cardiovascular electrophysiology</title><addtitle>J Cardiovasc Electrophysiol</addtitle><description>Research on the impact of angiographically detected residual trabeculation after left atrial appendage closure (LAAC) is limited.
To investigate the incidence, characteristics, and clinical implications of angiographically detected residual trabeculation after LAAC using the WATCHMAN device.
We analyzed 1350 consecutive patients with atrial fibrillation undergoing LAAC using the WATCHMAN device from the OCEAN-LAAC registry, which is a prospective ongoing, multicenter Japanese registry. The inclusion criteria comprised patients who successfully underwent LAAC and whose presence or absence of residual trabeculation can be confirmed using a contrast medium. The clinical outcomes were compared between patients with and without angiographically detected residual trabeculation.
Residual trabeculation was angiographically detected in 5.6% (75/1350 patients). At the procedure, the proportion of peri-device leak (PDL) was significantly higher in the residual trabeculation group than in the non-residual trabeculation group (20% vs. 5.1%, p < 0.001). However, the PDL and device-related thrombosis at 45 days and 1 year were comparable between the two groups (37% vs. 23%, p = 0.24; 28% vs. 31%, p = 0.84; 2.1% vs. 1.4%, p = 0.50; 6.9% vs. 6.0%, p = 0.69, respectively). The 3-year cumulative incidence of ischemic stroke, all cardiovascular death, and all-cause death were comparable between the two groups (5.7% vs. 5.5%, log-rank p = 0.96; 7.7% vs. 8.9%, log-rank p = 0.34, 31.4% vs. 22.3%, log-rank p = 0.71, respectively).
The angiographically detected residual trabeculation rate was 5.6%, and this population had a significantly higher prevalence of PDL at the procedure. However, the presence of residual trabeculation did not contribute to PDL or device-related thrombosis at follow-up or affect the clinical outcomes.</description><issn>1540-8167</issn><issn>1540-8167</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNpNkNtKxDAQhoMo7nq48AUkl95UM02b7noX6mlhVZAVL5c0nXSz9GSSCvsyPqvFAzgwzMB8fAM_IWfALmGsq63GSxApZHtkCmnCohmIbP_fPiFH3m8ZAy5YekgmfC54nEA8JZ-Lplc60M5Q2Va2q5zqN1arut7RGwyoA5b0Bb0tB1XTlVMF6qFWwXYtlSago0s0gcrg7HiXfY9tqSqked35wSF99bataNggfZOr_OFRPo3aD6vxmi5ab6tNoHeua76J5_xWPkVLKfPxY2V9cLsTcmBU7fH0dx6T1d3t6ImWz_eLXC6jPhVxxJlRRRYnBYBhCAbSbOwizmZGCMAk5WlpGONJaaBEzEqtxVxoBgLmaaaBH5OLH23vuvcBfVg31musa9ViN_g1h2SMd85YMqLnv-hQNFiue2cb5Xbrv0j5F2Atdw8</recordid><startdate>20241204</startdate><enddate>20241204</enddate><creator>Chatani, Ryuki</creator><creator>Kubo, Shunsuke</creator><creator>Nishiura, Naoki</creator><creator>Mushiake, Kazunori</creator><creator>Ono, Sachiyo</creator><creator>Maruo, Takeshi</creator><creator>Kadota, Kazushige</creator><creator>Sago, Mitsuru</creator><creator>Tanaka, Shuhei</creator><creator>Asami, Masahiko</creator><creator>Hachinohe, Daisuke</creator><creator>Naganuma, Toru</creator><creator>Ohno, Yohei</creator><creator>Tani, Tomoyuki</creator><creator>Okamatsu, Hideharu</creator><creator>Mizutani, Kazuki</creator><creator>Watanabe, Yusuke</creator><creator>Izumo, Masaki</creator><creator>Saji, Mike</creator><creator>Mizuno, Shingo</creator><creator>Ueno, Hiroshi</creator><creator>Shirai, Shinichi</creator><creator>Nakashima, Masaki</creator><creator>Yamamoto, Masanori</creator><creator>Hayashida, Kentaro</creator><scope>NPM</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7551-3431</orcidid><orcidid>https://orcid.org/0009-0009-7622-8494</orcidid><orcidid>https://orcid.org/0000-0001-8122-3561</orcidid><orcidid>https://orcid.org/0000-0001-9747-2511</orcidid><orcidid>https://orcid.org/0000-0003-4794-7843</orcidid></search><sort><creationdate>20241204</creationdate><title>Impact of Angiographically Detected Residual Trabeculation After Left Atrial Appendage Closure Using the WATCHMAN Device: Insight From the OCEAN-LAAC Registry</title><author>Chatani, Ryuki ; Kubo, Shunsuke ; Nishiura, Naoki ; Mushiake, Kazunori ; Ono, Sachiyo ; Maruo, Takeshi ; Kadota, Kazushige ; Sago, Mitsuru ; Tanaka, Shuhei ; Asami, Masahiko ; Hachinohe, Daisuke ; Naganuma, Toru ; Ohno, Yohei ; Tani, Tomoyuki ; Okamatsu, Hideharu ; Mizutani, Kazuki ; Watanabe, Yusuke ; Izumo, Masaki ; Saji, Mike ; Mizuno, Shingo ; Ueno, Hiroshi ; Shirai, Shinichi ; Nakashima, Masaki ; Yamamoto, Masanori ; Hayashida, Kentaro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p562-30fab724b11f0e1f157f15b278f661e4535df0034df1dee7dcc696c0161957c13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chatani, Ryuki</creatorcontrib><creatorcontrib>Kubo, Shunsuke</creatorcontrib><creatorcontrib>Nishiura, Naoki</creatorcontrib><creatorcontrib>Mushiake, Kazunori</creatorcontrib><creatorcontrib>Ono, Sachiyo</creatorcontrib><creatorcontrib>Maruo, Takeshi</creatorcontrib><creatorcontrib>Kadota, Kazushige</creatorcontrib><creatorcontrib>Sago, Mitsuru</creatorcontrib><creatorcontrib>Tanaka, Shuhei</creatorcontrib><creatorcontrib>Asami, Masahiko</creatorcontrib><creatorcontrib>Hachinohe, Daisuke</creatorcontrib><creatorcontrib>Naganuma, Toru</creatorcontrib><creatorcontrib>Ohno, Yohei</creatorcontrib><creatorcontrib>Tani, Tomoyuki</creatorcontrib><creatorcontrib>Okamatsu, Hideharu</creatorcontrib><creatorcontrib>Mizutani, Kazuki</creatorcontrib><creatorcontrib>Watanabe, Yusuke</creatorcontrib><creatorcontrib>Izumo, Masaki</creatorcontrib><creatorcontrib>Saji, Mike</creatorcontrib><creatorcontrib>Mizuno, Shingo</creatorcontrib><creatorcontrib>Ueno, Hiroshi</creatorcontrib><creatorcontrib>Shirai, Shinichi</creatorcontrib><creatorcontrib>Nakashima, Masaki</creatorcontrib><creatorcontrib>Yamamoto, Masanori</creatorcontrib><creatorcontrib>Hayashida, Kentaro</creatorcontrib><creatorcontrib>OCEAN‐LAAC investigators</creatorcontrib><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiovascular electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chatani, Ryuki</au><au>Kubo, Shunsuke</au><au>Nishiura, Naoki</au><au>Mushiake, Kazunori</au><au>Ono, Sachiyo</au><au>Maruo, Takeshi</au><au>Kadota, Kazushige</au><au>Sago, Mitsuru</au><au>Tanaka, Shuhei</au><au>Asami, Masahiko</au><au>Hachinohe, Daisuke</au><au>Naganuma, Toru</au><au>Ohno, Yohei</au><au>Tani, Tomoyuki</au><au>Okamatsu, Hideharu</au><au>Mizutani, Kazuki</au><au>Watanabe, Yusuke</au><au>Izumo, Masaki</au><au>Saji, Mike</au><au>Mizuno, Shingo</au><au>Ueno, Hiroshi</au><au>Shirai, Shinichi</au><au>Nakashima, Masaki</au><au>Yamamoto, Masanori</au><au>Hayashida, Kentaro</au><aucorp>OCEAN‐LAAC investigators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of Angiographically Detected Residual Trabeculation After Left Atrial Appendage Closure Using the WATCHMAN Device: Insight From the OCEAN-LAAC Registry</atitle><jtitle>Journal of cardiovascular electrophysiology</jtitle><addtitle>J Cardiovasc Electrophysiol</addtitle><date>2024-12-04</date><risdate>2024</risdate><issn>1540-8167</issn><eissn>1540-8167</eissn><abstract>Research on the impact of angiographically detected residual trabeculation after left atrial appendage closure (LAAC) is limited.
To investigate the incidence, characteristics, and clinical implications of angiographically detected residual trabeculation after LAAC using the WATCHMAN device.
We analyzed 1350 consecutive patients with atrial fibrillation undergoing LAAC using the WATCHMAN device from the OCEAN-LAAC registry, which is a prospective ongoing, multicenter Japanese registry. The inclusion criteria comprised patients who successfully underwent LAAC and whose presence or absence of residual trabeculation can be confirmed using a contrast medium. The clinical outcomes were compared between patients with and without angiographically detected residual trabeculation.
Residual trabeculation was angiographically detected in 5.6% (75/1350 patients). At the procedure, the proportion of peri-device leak (PDL) was significantly higher in the residual trabeculation group than in the non-residual trabeculation group (20% vs. 5.1%, p < 0.001). However, the PDL and device-related thrombosis at 45 days and 1 year were comparable between the two groups (37% vs. 23%, p = 0.24; 28% vs. 31%, p = 0.84; 2.1% vs. 1.4%, p = 0.50; 6.9% vs. 6.0%, p = 0.69, respectively). The 3-year cumulative incidence of ischemic stroke, all cardiovascular death, and all-cause death were comparable between the two groups (5.7% vs. 5.5%, log-rank p = 0.96; 7.7% vs. 8.9%, log-rank p = 0.34, 31.4% vs. 22.3%, log-rank p = 0.71, respectively).
The angiographically detected residual trabeculation rate was 5.6%, and this population had a significantly higher prevalence of PDL at the procedure. However, the presence of residual trabeculation did not contribute to PDL or device-related thrombosis at follow-up or affect the clinical outcomes.</abstract><cop>United States</cop><pmid>39632412</pmid><doi>10.1111/jce.16517</doi><orcidid>https://orcid.org/0000-0001-7551-3431</orcidid><orcidid>https://orcid.org/0009-0009-7622-8494</orcidid><orcidid>https://orcid.org/0000-0001-8122-3561</orcidid><orcidid>https://orcid.org/0000-0001-9747-2511</orcidid><orcidid>https://orcid.org/0000-0003-4794-7843</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1540-8167 |
| ispartof | Journal of cardiovascular electrophysiology, 2024-12 |
| issn | 1540-8167 1540-8167 |
| language | eng |
| recordid | cdi_pubmed_primary_39632412 |
| source | Wiley Journals |
| title | Impact of Angiographically Detected Residual Trabeculation After Left Atrial Appendage Closure Using the WATCHMAN Device: Insight From the OCEAN-LAAC Registry |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T03%3A17%3A36IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20of%20Angiographically%20Detected%20Residual%20Trabeculation%20After%20Left%20Atrial%20Appendage%20Closure%20Using%20the%20WATCHMAN%20Device:%20Insight%20From%20the%20OCEAN-LAAC%20Registry&rft.jtitle=Journal%20of%20cardiovascular%20electrophysiology&rft.au=Chatani,%20Ryuki&rft.aucorp=OCEAN%E2%80%90LAAC%20investigators&rft.date=2024-12-04&rft.issn=1540-8167&rft.eissn=1540-8167&rft_id=info:doi/10.1111/jce.16517&rft_dat=%3Cproquest_pubme%3E3146519004%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3146519004&rft_id=info:pmid/39632412&rfr_iscdi=true |